person
Mr. Dennis Dale Whitten, MACJ,LADC,ICAADC
Addiction (Substance Use Disorder) Counselor in Idabel, Oklahoma
NPI 1184743502

Dennis Dale Whitten is an Addiction (Substance Use Disorder) Counselor based in Idabel, OK and is specialized in Addiction (Substance Use Disorder). Dennis Dale Whitten practices in Idabel, OK and has the professional credentials of MACJ,LADC,ICAADC. The NPI Number for Dennis Dale Whitten is 1184743502 and holds a License No. 72 (Oklahoma).

The current practice location address for Dennis Dale Whitten is 104 N.e. Avenue A, Idabel, OK and can be reached out via phone at 580-212-9175 and via fax at 580-286-6385.

Location: 104 N.e. Avenue A, Idabel, OK, 74745-0555
person
Provider Profile Details
NPI Number
1184743502
Provider Name
Dennis Dale Whitten
Credential
MACJ,LADC,ICAADC
Provider Entity Type
Individual
Gender
Male
Address
104 N.e. Avenue A, Idabel, OK, 74745-0555
Phone Number
580-212-9175
Fax Number
580-286-6385
Provider Enumeration Date
03/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0955461203 01 OK CAADC
685 01 OK ICAADC
72 01 OK LICENSED ALCOHOL AND DRUG
institution
Provider Business Practice Location Address Details
Address
104 N.e. Avenue A
City
State
Zip
74745
Phone Number
580-212-9175
Fax Number
580-286-6385
person
Provider Business Mailing Address Details
Address
104 N.e. Avenue A
City
State
Zip
74745
Phone Number
580-212-9175
Fax Number
580-286-6385
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
72 (Oklahoma)
Definition
Definition to come...
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